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, PERMIT APPLICATION <br />BUILDING/MECHANICALIPLUMBINGISIGNISPRINKLERIDEMOLITION <br />CITY OF EVERETT �'ERMIT SERVICES <br />32D0 CedarSt.,EvereN, WA 98201 425-257-8810 FAX 425-257•8857 wvnv.everettwa.org <br />4VPLICATIONS ARE ACCEPTED FROM 8 AM T04 PM 6—`oL�� <br />iuneaa: 2�"I / �A�i <br />YJ <br />lornewfAnsWcliorc. S�ortPl.Usu�� <br />� z�l� W�l„�4- ��.c <br />Yo Eor IoZ'� <br />No _(anaUi coDy ol long Icgal aesrnpUon) <br />�� 541-394-�IG3��o��m���Bi� <br />oK 9�d31 <br />l. <br />Owner OMnefSAgent gConlracror Conira[to�s�lgenl ie�aM,r�u.�o•ne.e+ao•m+un�ramroc+omaa«u+��.ne•o..<n <br />.g 'T BD � 8 I Lic. N COE Bus Lic. d <br />Pnone�Emml <br />N A a�o��,e.�,a,i sa�e as a6a�e� <br />UILDING PERMIT APPLICATION CONTRACT PRICE OF WORK �g� <br />cisting Use oi Buiitling SF�Q7 HEAT SOURCE: <br />oposedUseolBwlding S�i� Gas_ Electnc Oln?r._ <br />itlding lype: � Smgle Famdy _, �upleK _Townhouse _ Mulh-Famdy _ Commercwl <br />pe ol projecC Ne�v Addlion Remodel Rep�ir T I Sign Spnnhler Oemol�tion C�ange o( Use <br />ESCRIPTION OF WOF;K (admii na( so;ce proridoE on mo bacA): f <br />iZew�W¢_, reczoRi� a�o�ae� ^o�-%a,-ing 'Oa�ii'iw� WA�K °� �Wa� �n Nps`%.7ivS <br />i�M�en� <br />MECHANICAI PERMIT APPLICATION <br />ot Pra�ecl: _New _Addn _Rltentlon _Repalr <br />Show Numher (q ot �+Nres <br />NC – air handGng uniis <br />froccd air syslems <br />Gas pi �nq <br />Waler healer <br />� <br />Numbcr ol Heads <br />PERMIT APPLIGATION <br />o1PraJec�: _New_Atldn _Altentlon_Repal� <br />Flocr drein <br />Ruot dra�ns <br />Med�wi Gas <br />ORter. <br />IhereOyCeA�yC�all�awrea�anCmammedNnappl?.ionanp�w+Inesamo�o�rbuxanCconecl PPu�ov¢anso�UrrsaMudmancnsyovmmmyNrstyyeolwonrJCecumpFeJ <br />�«N wfiel�ei spoC�W �ormn ur nal l�o gmn�ng ol a perm�t Joes no� prosumo lo grvv ouNmy �o anN:a a wnGnl pin D�o.�son u� a��� oV�er slalu o� �ou1 bw �e9W s'y co�utrunqn <br />l�al I am aul�on:oe �Y ��o o�ner ol4�rs O�Deh1' �o Ib�a^� Nn wo�k �or x�c� aDP�'4^ �s matle ancl I wmpN wtlt� Ine Sule (:on�dors Law 18.:7 ftGYY . M:96 200A W A('. <br />.,�T7� ;, c � L Ma N,a�,. 515113 �l <br />O ulhot/tA�Ben151gnalura Oatc IRe�v�soeN207t) �� <br />